Operators in the paradox of the knower

Predicates are term-to-sentence devices, and operators are sentence-to-sentence devices. What Kaplan and Montague's Paradox of the Knower demonstrates is that necessity and other modalities cannot be treated as predicates, consistent with arithmetic; they must be treated as operators instead. Such is the current wisdom.A number of previous pieces have challenged such a view by showing that a predicative treatment of modalities neednot raise the Paradox of the Knower. This paper attempts to challenge the current wisdom in another way as well: to show that mere appeal to modal operators in the sense of sentence-to-sentence devices is insufficient toescape the Paradox of the Knower. A family of systems is outlined in which closed formulae can encode other formulae and in which the diagonal lemma and Paradox of the Knower are thereby demonstrable for operators in this sense.I am deeply indebted to Robert F. Barnes and Evan W. Conyers, without whom these ideas might not have germinated and certainly would not have grown. Many of the results offered here evolved in the course of mutual discussion and correspondence. I am also grateful to an anonymous reviewer forSynthese for many very helpful suggestions.The current paper contains the technical results promised in Footnote 25 of Grim (1988) and Footnote 26, Chapter 3, of Grim (1991).     

INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.     

Loving the World We Are: Anthropology and Relationality in Laudato si’

There is a tension between Laudato si's consistent emphasis on relationships and interconnectedness and its acceptance of anthropocentrism. While Laudato si’ does reject certain problematic forms of anthropocentrism, the encyclical does not assert an alternative to this traditional framework. This article contends that “relatiocentrism” provides the best avenue for developing the convictions expressed within Laudato si’ while moving beyond the limitations of the encyclical itself. In so doing, this essay explores the use of narrative as a means of shaping identity by mapping significant relationships and points of meaning. It examines the central anthropological claims of the encyclical and the tensions these create with anthropocentric narratives. And it examines relatiocentrism in light of the biblical creation accounts, the eschatological perspective of Laudato si’, and virtue ethics. The essay concludes by suggesting further theological and moral implications of this shift in perspective.     

Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Using the successive cohort design, a tailored multicomponent mobile health smoking cessation intervention was developed. The intervention included mobile contingency management (i.e., financial compensation for confirmed abstinence from smoking), pharmacotherapy for smoking cessation, cognitive-behavioral counseling sessions, and the Stay Quit app for relapse prevention. Two cohorts (N = 13) were completed in the study; after each cohort, the treatment protocol was revised. The intervention is described, as well as the qualitative findings from each cohort and subsequent changes made to the intervention based upon patient and provider feedback. Metrics of patient engagement included treatment adherence (40% in Cohort 1 and 63% in Cohort 2). Both participants and therapists reported that the intervention was helpful. Over one third of participants self-reported abstinence at posttreatment. Since qualitative methodology is often underutilized in mental health treatment development, this study demonstrates the utility of the successive cohort design for treatment development of behavior change interventions for at-risk, vulnerable populations.     

Correction to: Stephen Scher and Kasia Kozlowska: Rethinking health care ethics

Theoretical Medicine and Bioethics - The originally published review of this book did not include the information that an electronic version is available.     

The “Emerging Church” Conversation

As the contemporary discussion on the “Emerging Church” (ECC) conversation shows, there is a shift in the understanding of Christian religion. (In its historical context, this is strongly related to Evangelism.) On closer examination, the ECC actually boils down to a transformation of Christian religion – a version of an experienced‐based, postmodern religiosity. The engine of this transformation is the clarification of the religious identity. The ECC can be described as a movement that serves as a transition for the protagonists in order to shape their individual processes of resistance as well as the processes of disentanglement in regards to their own religious orientation. Therefore, the discussion represents an “alternative space,” which is best seen in five motifs: the change of religious alignment; the significance of community; specific theological themes and strategies; dealing with different “contexts” in the conversation; and the emphasis of values, attitudes, and practices. On the one hand, the conversation can be described as a “biotope of innovation.” On the other hand, protagonists handle intellectual doubt, their lack of religious experience, the lack of moral authority of their previous religious community, and theological uncertainties with courage and a certain nonchalance, which must be addressed critically.